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General NPI Number Information
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NPI Number | 1205005337
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Entity Type | Organization
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Legal Business Name | CHRISTUS HEALTH CENTRAL LOUISIANA
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 3330 MASONIC DR SUITE 3064
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3841
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Country | US
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Telephone | 318-448-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 MASONIC DR SUITE 3064
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3841
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Country | US
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Telephone | 318-448-6200
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. SCOTT A MERRYMAN
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Credential |
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Telephone | 318-664-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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